Life of the Second-Order Patient: Factors Impacting the Informal Caregiver

Informal caregivers (ICs) are forced to make adaptive lifestyle changes to meet the significant demand of caring for loved ones who are terminally ill. Open-ended questions were administered with 26 ICs who cared for loved ones diagnosed with terminal illnesses whose prognosis was less than six months. The results add substantive information to parsimonious literature and demonstrate a correlation with existing studies that coincide with the debilitating effects that caregiving has on the informal carer. The study clarifies the complexities of the caregiving role characterized by the involvement that may adversely affect socialization, physical health conditions, and marital dynamics, among other areas of the IC’s personal life.     

Very Young Child Well-being in Military Families: A Snapshot

Since the September 11th attacks on the U.S., more than 2 million children have experienced parental deployment during their early years, with potentially lasting impact. When a parent is deployed, a number of factors may affect the well-being of the service member and his/her family. One parental factor—posttraumatic stress disorder or distress—might be particularly powerful in its effect on young children and the family system. We analyzed baseline data from an intervention development project which focused on supporting military families with very young children during post-deployment. The purpose of this research is to understand the relationships between parental mental health status, parenting stress, couple functioning, and young child well-being. The effects of mental health status of home-front and service member parents and the role of couple functioning on parent–child interactions and behavioral problems of young children were examined in a sample of military families during the post-deployment period. Findings suggest that service member posttraumatic stress symptoms are associated with higher parental report of child behavior problems. Higher quality of the couple relationship appears to lessen the impact of parental posttraumatic stress but is not related to parent perceptions of child behavior concerns. Implications for future research with military families are discussed.     

Effects of absolute luminance and luminance contrast on visual search in low mesopic environments

Diverse adaptive visual processing mechanisms allow us to complete visual search tasks in a wide visual photopic range (>0.6 cd/m²). Whether search strategies or mechanisms known from this range extend below, in the mesopic and scotopic luminance spectra (<0.6 cd/m²), has yet to be addressed. Based on a study that addressed simple target discrimination in luminance environments using contrast-dependent behavioral efficiency functions, we assessed visual search in more complex-feature and conjunction-search paradigms. The results verify the previously reported deficiency windows defined by an interaction of base luminance and luminance contrast for more complex visual-search tasks. Based on significant regression analyses, a more precise definition of the magnitude of contribution of different contrast parameters. Characterized feature search patterns had approximately a 2.5:1 ratio of contribution from the Michelson contrast property relative to Weber contrast, whereas the ratio was approximately 1:1 in a serial-search condition. The results implicate near-complete magnocellular isolation in a visual-search paradigm that has yet to be demonstrated. Our analyses provide a new method of characterizing visual search and the first insight in its underlying mechanisms in luminance environments in the low mesopic and scotopic spectra.

     

Willingness to Seek Treatment Among Black Students With Anxiety or Depression: The Synergistic Effect of Sociocultural Factors With Symptom Severity and Intolerance of Uncertainty

Anxiety and depressive disorders are among the most commonly diagnosed psychiatric disorders, yet they remain largely undertreated in the U.S. and Black adults are especially unlikely to seek or receive mental health services. Symptom severity has been found to impact treatment-seeking behaviors as have sociocultural factors. Yet no known research has tested whether these factors work synergistically to effect willingness to seek treatment. Further, emerging data point to the importance of transdiagnostic risk factors such as intolerance of uncertainty (IU). IU may be negatively related to seeking treatment given that Black adults may be uncertain whether treatment might benefit them. Thus, the current study examined the relations between symptom severity/IU and willingness to seek treatment for anxiety/depression problems and the impact of key sociocultural variables (i.e., cultural mistrust–interpersonal relations [CMI-IR], perceived discrimination [PED]) on these relations among 161 (85% female) Black undergraduates. Consistent with prediction, symptom severity was positively related to willingness, but unexpectedly, IU was positively related. There was a significant Symptom Severity × CMI-IR interaction such that severity was positively related to willingness among students with lower cultural mistrust, but not higher mistrust. There were also significant IU × PED interaction such that IU was positively related to willingness among students with lower PED, but not higher PED. Results highlight the importance of considering the interplay between symptom severity, transdiagnostic vulnerability factors, and sociocultural variables when striving to identify factors related to treatment seeking behaviors among anxious and/or depressed Black students.     

Reading from the middle: Heidegger and the narrative self

Heidegger's Being and Time is an underappreciated venue for pursuing work on the role narrative plays in self‐understanding and self‐constitution, and existing work misses Heidegger's most interesting contribution. Implicit in his account of Dasein (an individual human person) is a notion of the narrative self more compelling than those now on offer. Bringing together an adaptive interpretation of Heidegger's notion of “thrown projection”, Wolfgang Iser's account of “the wandering viewpoint”, and more recent Anglo‐American work on the narrative self, I argue that we read our ongoing existences in the same way that, mid‐story, we read a narrative. Reading is a better master metaphor than authorship, narration, plot, or character to guide investigations of narrative's relation to the self. It is not merely a metaphor, however, as the hermeneutic structures involved in interpreting existence and a narrative from the middle are the same.     

Naturalist Political Realism and the First Political Question

Many political realists reject the idea that the first task for political philosophy is to justify the existence of coercive political institutions (CPIs). Instead, they say, we should begin with the factual existence of CPIs, and ask how they ought to be structured. In holding this view, they adopt a form of political naturalism that is broadly Aristotelian in character. In this article, I distinguish between two forms that this political naturalism might take ‐ what I call a ‘strong’ form, and a ‘weak’ form ‐ and argue that both ought to be rejected. 1     

A Phenomenological Inquiry of Identity Development,Same‐Sex Attraction,and Religious Upbringing

Growing up in religious/spiritual communities often creates identity issues for lesbian and gay individuals. In this phenomenological study, the authors investigated the experiences of 25 lesbian and gay individuals who self‐identified as having been raised within organized religious communities. Participants described that these communities were affirming, tolerant, or nonaffirming. Accordingly, emergent themes indicated that the current spiritual lives of participants varied greatly depending on their experiences of identity integration and affirmation. Implications for counselors and researchers are discussed.